Organization
YELLOWBRICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE L VINER M.D. (EXEC. MEDICAL DIRECTOR)
(847) 869-1500
Entity
Organization
Contact information
Practice address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Mailing address
1560 SHERMAN AVE., SUITE 400, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.009652
IL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
042.619076
IL
Other
Enumeration date
02/28/2008
Last updated
08/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us